Balagagge a cikin 'yan mata

Jinkirin balaga ga girlsan mata na faruwa ne lokacin da nono ba su girma har zuwa shekaru 13 ko lokacin al'ada ba zai fara ba daga shekara 16.

Canjin balaga yana faruwa yayin da jiki ya fara yin jima'i na jima'i. Waɗannan canje-canjen suna fara bayyana ne a cikin girlsan mata tsakanin shekaru 8 zuwa 14.

Tare da jinkirin balaga, waɗannan canje-canje ko dai basu faruwa ba, ko kuma idan sun faru, basa ci gaba koyaushe. Balaga da jinkiri ta fi zama ruwan dare a wurin samari fiye da ‘yan mata.

A mafi yawan lokuta jinkirta balaga, canjin canje-canje yana farawa ne kawai fiye da yadda aka saba, wani lokacin ana kiransa marigayi mai tasowa. Da zarar balaga ta fara, to tana tafiya daidai. Wannan tsarin yana gudana a cikin iyalai. Wannan shine mafi yawan dalilin lalacewar marigayi.

Wani abin da ke jawo jinkirin balaga ga 'yan mata shi ne rashin kitse a jiki. Kasancewa siriri sosai zai iya tarwatsa tsarin balaga na al'ada. Wannan na iya faruwa a cikin girlsan mata waɗanda:

• Suna da ƙarfi cikin wasanni, kamar masu iyo, masu gudu, ko masu rawa
• Yi fama da matsalar rashin cin abinci, kamar su anorexia ko bulimia
• Ba su da abinci

Hakanan kuma jinkirta balaga na iya faruwa yayin da kwayayen kwayayen ke haifar da kadan ko a'a. Wannan shi ake kira hypogonadism.

• Wannan na iya faruwa yayin da kwayayen suka lalace ko basa bunkasa yadda ya kamata.
• Hakanan zai iya faruwa idan akwai matsala tare da sassan kwakwalwar da ke cikin balaga.

Wasu yanayi na likita ko jiyya na iya haifar da hypogonadism, gami da:

• Celiac sprue
• Ciwon hanji mai kumburi (IBD)
• Hypothyroidism
• Ciwon suga
• Cystic fibrosis
• Ciwon hanta da koda
• Cututtuka na autoimmune, kamar Hashimoto thyroiditis ko cutar Addison
• Chemotherapy ko maganin sankara da ke lalata ovaries
• Wani ƙari a cikin gland
• Cutar ta Turner, cuta ce ta kwayoyin halitta

'Yan mata sun fara balaga tsakanin shekaru 8 zuwa 15. Tare da jinkirta balaga, ɗanka na iya samun ɗaya ko fiye daga waɗannan alamun:

• Nono ba ya haɓaka ta shekara 13
• Babu gashi gashi
• Ba a fara jinin haila da shekara 16 ba
• Gajeren gajere da saurin girma
• Mahaifa ba ta bunkasa
• Shekarun ƙashi sun fi na ɗanku

Wataƙila akwai wasu alamun alamun, gwargwadon abin da ke haifar da jinkiri ga balaga.

Mai ba da kula da lafiyar yaronku zai ɗauki tarihin iyali don sanin idan jinkirin balaga ya gudana a cikin iyali.

Mai ba da sabis ɗin na iya tambaya game da abin da yaro yake:

• Halayen cin abinci
• Halayen motsa jiki
• Tarihin lafiya

Mai ba da sabis ɗin zai yi gwajin jiki. Sauran gwaji na iya haɗawa da:

• Gwajin jini don bincika matakan wasu haɓakar haɓakar haɓaka, homonin jima'i, da kuma hormones na thyroid
• Amsar LH ga gwajin jini na GnRH
• Nazarin chromosomal
• MRI na kai don ciwace-ciwacen daji
• Duban dan tayi na ovaries da mahaifa

Ana iya samun x-ray na hannun hagu da kuma wuyan hannu don kimanta shekarun ƙashi a ziyarar farko don ganin idan ƙasusuwan suna girma. Yana iya maimaitawa a kan lokaci, idan an buƙata.

Maganin zai dogara ne akan dalilin jinkirta balaga.

Idan akwai tarihin iyali na ƙarshen balaga, galibi ba a buƙatar magani. Bayan lokaci, balaga zai fara da kansa.

A cikin girlsan mata masu ƙananan kiba, samun ɗan nauyi na iya taimakawa wajen haifar da balaga.

Idan jinkirin balaga ya faru ne ta hanyar cuta ko rashin cin abinci, magance abin zai iya taimaka wa balaga ya bunkasa yadda ya kamata.

Idan balaga ta kasa girma, ko kuma yaron ya wahala matuka saboda jinkiri, maganin hormone na iya taimakawa fara balaga. Mai bada zai:

• Ba da estrogen (wani jima'i na jima'i) a ƙananan allurai, ko dai a baki ko a matsayin faci
• Lura da canje-canje masu haɓaka kuma haɓaka ƙwayar kowane watanni 6 zuwa 12
• Sanya progesterone (sinadarin jima'i) don fara al'ada
• Bada magungunan hana daukar ciki na baka don kiyaye matakan al'ada na homonin jima'i

Waɗannan albarkatun na iya taimaka maka samun tallafi da fahimta game da ci gaban ɗanka:

Gidauniyar MAGIC - www.magicfoundation.org

Ungiyar Turner Syndrome ta Amurka - www.turnersyndrome.org

Balaga da aka jinkirta wanda ke gudana a cikin iyali zai warware kansa.

Wasu girlsan mata da ke da wasu halaye, kamar waɗanda ke lalata ƙwarjin ƙwai, na iya buƙatar ɗaukar homonin rayuwarsu duka.

Maganin maye gurbin estrogen na iya samun illa.

Sauran rikitarwa masu yiwuwa sun haɗa da:

• Sauke al’ada da wuri
• Rashin haihuwa
• Bonearancin ƙashi da karaya daga baya a rayuwa (osteoporosis)

Tuntuɓi mai ba da sabis idan:

• Yaron ku yana nuna saurin girma
• Balaga baya farawa da shekara 13
• Balaga tana farawa, amma baya samun cigaba yadda yakamata

Ana iya ba da shawarar zuwa likitan ilimin likitancin yara don 'yan mata da suka jinkirta balaga.

Cigaba da cigaban jima'i - yan mata; Jinkirin wallafe - wallafe; Tsarin mulki ya jinkirta balaga

Haddad NG, Eugster EA. Balaga da aka jinkirta. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 122.

Krueger C, Shah H. Magungunan yara. A cikin: Asibitin Johns Hopkins; Kleinman K, McDaniel L, Molloy M, eds. Asibitin Johns Hopkins: Littafin Jagora na Harriet. 22nd ed. Philadelphia, PA: Elsevier; 2021: babi na 5.

Styne DM. Ilimin halittar jiki da rikicewar balaga. A cikin Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 26.